MR. BRIAN R. CLARK L.P.C.
NPI 1497907190
Counselor - Professional in Sault Sainte Marie, MI

Q: What is Brian Clark's NPI number?

The NPI number for Brian Clark is 1497907190. It was assigned to this individual provider in the NPPES registry on October 14, 2008.

Q: What is Brian Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Brian Clark was last updated on February 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 14, 2008

623 W EASTERDAY AVE, SAULT SAINTE MARIE, MI 49783(906) 635-2752 Get Directions Write a Review

NPPES record last updated: February 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Brian R. Clark L.p.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BRIAN R. CLARK L.P.C. (NPI 1497907190) is an individual professional provider in Sault Sainte Marie, Michigan, licensed in Michigan (6401000919) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1497907190

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. BRIAN R. CLARKCredential: L.P.C.

Location Address623 W EASTERDAY AVESault Sainte Marie, MI 49783-1625

Mailing Address2684 Kavanaugh StOssineke, MI 49766-9784 · (989) 471-2205

Phone(906) 635-2752

Sole ProprietorNo

Enumeration DateOctober 14, 2008

Last NPPES UpdateFebruary 3, 2016

✔ NPI 1497907190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MI · 6401000919

Also ListedSocial WorkerTaxonomy 104100000X · License 6801016728 (MI)

623 W EASTERDAY AVE, Sault Sainte Marie, MI 49783

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Clark's NPI number?

The NPI number for Brian Clark is 1497907190. It was assigned to this individual provider in the NPPES registry on October 14, 2008.

Where is Brian Clark located?

Brian Clark practices at 623 W Easterday Ave, Sault Sainte Marie, MI 49783. The listed phone number is (906) 635-2752.

What is Brian Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Brian Clark was last updated on February 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.